Amanda Eanes Pisciotta (NPI# 1558603811, PAC ID# 6507005238) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1558603811 |
| PAC ID by PECOS | 6507005238 |
| Professional Enrollment ID | I20130610000538 |
| Full Name | Amanda Eanes Pisciotta |
| Organization Legal Name | GEORGIA SKIN CANCER AND AESTHEITIC DERMATOLOGY, LLC |
| Address |
974 S Enota Dr Ne Gainesville GA 30501-2429 |
| Phone Number | 4019528370 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0244328649 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110074 | PIEDMONT ATHENS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 974 S Enota Dr Ne, Gainesville, GA 30501-2429 | 4019528370 | GEORGIA SKIN CANCER AND AESTHEITIC DERMATOLOGY, LLC |
| 1180 Resurgence Dr, Suite 100, Watkinsville, GA 30677-7211 | 7065435858 | GEORGIA SKIN CANCER AND AESTHEITIC DERMATOLOGY, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 98% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 81% |
| Organization Legal Name | GEORGIA SKIN CANCER AND AESTHEITIC DERMATOLOGY, LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Armour Wheatley | Nurse Practitioner | Georgia Skin Cancer and Aestheitic Dermatology, LLC | 1180 Resurgence Dr, Suite 100, Watkinsville, GA 30677-7211 |
| Jessica H Cook | Physician Assistant | Georgia Skin Cancer and Aestheitic Dermatology, LLC | 974 S Enota Dr Ne, Gainesville, GA 30501-2429 |
| Laura R Phillips | Physician Assistant | Georgia Skin Cancer and Aestheitic Dermatology, LLC | 974 S Enota Dr Ne, Gainesville, GA 30501-2429 |
| Ross M Campbell | Dermatology | Georgia Skin Cancer and Aestheitic Dermatology, LLC | 974 S Enota Dr Ne, Gainesville, GA 30501-2429 |
| Christopher K Brune | Physician Assistant | Georgia Skin Cancer and Aestheitic Dermatology, LLC | 974 S Enota Dr Ne, Gainesville, GA 30501-2429 |
| Benjamin Rosen | Physician Assistant | Georgia Skin Cancer and Aestheitic Dermatology, LLC | 974 S Enota Dr Ne, Gainesville, GA 30501-2429 |
| Kristen A Thomas | Dermatology | Georgia Skin Cancer and Aestheitic Dermatology, LLC | 1000 Cowles Clinic Way, Suite A 400, Greensboro, GA 30642-5289 |
| Courtney Bowling | Physician Assistant | Georgia Skin Cancer and Aestheitic Dermatology, LLC | 974 S Enota Dr Ne, Gainesville, GA 30501-2429 |
| Shenara D'juan Sexton | Dermatology | Georgia Skin Cancer and Aestheitic Dermatology, LLC | 1180 Resurgence Dr, Suite 100, Watkinsville, GA 30677-7211 |
| Street Address |
974 S ENOTA DR NE |
| City | GAINESVILLE |
| State | GA |
| Zip | 30501-2429 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica H Cook | Physician Assistant | Georgia Skin Cancer and Aestheitic Dermatology, LLC | 974 S Enota Dr Ne, Gainesville, GA 30501-2429 |
| Laura R Phillips | Physician Assistant | Georgia Skin Cancer and Aestheitic Dermatology, LLC | 974 S Enota Dr Ne, Gainesville, GA 30501-2429 |
| Daniel C Rabb | Dermatology | Dermatology Associates of Norhteast Georgia | 974 S Enota Dr Ne, Gainesville, GA 30501-2429 |
| Ross M Campbell | Dermatology | Georgia Skin Cancer and Aestheitic Dermatology, LLC | 974 S Enota Dr Ne, Gainesville, GA 30501-2429 |
| Namita M Kumar | Physician Assistant | Dermatology Associates of Norhteast Georgia | 974 S Enota Dr Ne, Gainesville, GA 30501-2429 |
| Joy M Stevens | Nurse Practitioner | Dermatology Associates of Norhteast Georgia | 974 S Enota Dr Ne, Gainesville, GA 30501-2429 |
| Inga Elita Bennett | Nurse Practitioner | Dermatology Associates of Norhteast Georgia | 974 S Enota Dr Ne, Gainesville, GA 30501-2429 |
| Christopher K Brune | Physician Assistant | Georgia Skin Cancer and Aestheitic Dermatology, LLC | 974 S Enota Dr Ne, Gainesville, GA 30501-2429 |
| Jonathan Nix | Physician Assistant | Dermatology Associates of Norhteast Georgia | 974 S Enota Dr Ne, Gainesville, GA 30501-2429 |
| Benjamin Rosen | Physician Assistant | Georgia Skin Cancer and Aestheitic Dermatology, LLC | 974 S Enota Dr Ne, Gainesville, GA 30501-2429 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leroy W Robinson Iii | Optometry | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| William C Ackerman | Ophthalmology | Lanier Eye Associates, LLC | 625 S Enota Nedr, Gainesville, GA 30501 |
| Julius Nathaniel Skeete | Optometry | 150 Pearl Nix Pkwy, D3a, Gainesville, GA 30501-0001 | |
| William T Crews | Chiropractic | 1864 Thompson Bridge Rd, Gainesville, GA 30501-1119 | |
| Julia H Strong | Clinical Social Worker | 1709 B Cleveland Hwy, Gainesville, GA 30501-1353 | |
| Kathryn W. Dudas | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Yesenia Delosangeles | Clinical Social Worker | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Christy M Wagner | Family Medicine | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Catherine E Norton | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Jennifer A Roark | Nurse Practitioner | Northeast Georgia Physicians Group Inc | 1856 Thompson Bridge Rd, Suite 14, Gainesville, GA 30501-1620 |
| Find all physicians in zip 30501 | |||
| City | GAINESVILLE |
| Zip Code | 30501 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GAINESVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Amanda Eanes Pisciotta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.